{"id":2749,"title":"GRIHA LITE PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/home-insurance/griha-lite/proposal-forms/griha-lite-proposal-form.pdf","sha256":"fb8e763623cf39e4be5b8fb774af1006fe6e8ebdf7ab31298acbd81707fbadc5","pages":10,"collected":"2026-10-17","instructions":{"about":"This form is used by individuals or entities proposing to purchase the Griha Lite home insurance policy from Generali Central Insurance Co. Ltd. The proposer fills this form to provide details about themselves, the property, and the coverage they want.","notes":["Read prospectus/key features/policy wordings before filling the form.","Fill all questions in full; attach separate sheet if needed.","Cover starts only after acceptance and premium receipt.","Use block letters where applicable.","Original documents and certificates may be required for claims.","Policy period for long term policies shall not exceed 10 years.","For premium above ₹10,000, fill authorization form for NEFT payments.","Anti-money laundering compliance is mandatory.","Section 41 of Insurance Act prohibits rebates; violation punishable by fine."],"title":"GRIHA LITE PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Details about Proposer and Policy Period","fields":[{"help":"","type":"text","label":"Name of Proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Present Address of Proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Permanent Address of Proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Phone No. a. Mobile","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email","options":[],"required":null,"pdf_field":""},{"help":"Central KYC Registry number if available","type":"text","label":"CKYC Number (if available)","options":[],"required":false,"pdf_field":""},{"help":"Tick all applicable categories","type":"checkbox","label":"I am (please tick all that are applicable)","options":["High Net Worth Individual/s","Non-Residential Indian/s","Politically Exposed Person","Non-Governmental Organisation","Non-Profit Organisation"],"required":null,"pdf_field":""},{"help":"Provide registration number if applicable","type":"text","label":"If you are an NGO/NPO, please provide Niti Ayog – Darpan Portal Registration Number","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"If you are Differently Abled, please tick on the checkbox to provide confirmation","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"If Differently Abled is Yes, specify type","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"If Differently Abled is Yes, specify percentage","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"If Differently Abled is Yes, provide UDID number","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""},{"help":"List all parties with insurable interest","type":"text","label":"Policy to be issued in favour of (list out all the parties who have insurable interest) including the financial institutions","options":[],"required":null,"pdf_field":""},{"help":"Start date of policy","type":"date","label":"Period of Insurance From","options":[],"required":null,"pdf_field":""},{"help":"Maximum 10 years","type":"number","label":"No of Years in case of long term policy","options":[],"required":false,"pdf_field":""},{"help":"Name of nominee","type":"text","label":"Nomination: Nominee Name","options":[],"required":null,"pdf_field":""},{"help":"Relationship of nominee to insured","type":"text","label":"Relationship with the insured","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Covers Opted","fields":[{"help":"Tick Yes or No","type":"yes-no","label":"Is there any policy in place for the same property?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide details of existing policy if any","type":"text","label":"If Yes, please provide the details","options":[],"required":false,"pdf_field":""},{"help":"Tick the cover option required","type":"choice","label":"Cover/s required","options":["Home Building & Home Contents","Home Building Only","Home Contents Only"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Location of Home Building","fields":[{"help":"Provide full postal address","type":"text","label":"Location of Home Building - full postal address with Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Pin code of the location","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Select building type","type":"choice","label":"Is it in a multi-storey building or is it a standalone house?","options":["Multi-storey building","Standalone house"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Is there a basement to Your house?","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of Home Building","fields":[{"help":"Carpet area in square meters","type":"number","label":"Carpet area of structure of Home in square metres","options":[],"required":null,"pdf_field":""},{"help":"Cost rate per square meter","type":"amount","label":"Rate of Cost of Construction per square metre at the policy Commencement Date","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Other Details","fields":[{"help":"Select age category","type":"choice","label":"Age of Home Building","options":["Upto 5 Years","More than 5years - Upto 10 Years","More than 10years - Upto 25 Years","Above 25 Years"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Are Fire Protection devices installed?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Select all applicable fire protection devices","type":"checkbox","label":"If Yes, please select the type","options":["Hand Appliances","Hand Appliances & Hydrant System","Hand Appliances + Hydrant System & independent Sprinkler/ Fixed Water Spray System","Others"],"required":false,"pdf_field":""},{"help":"Specify other fire protection devices if any","type":"text","label":"Others, pls specify","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Is round the clock security guard available in your premises?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Distance in kilometers","type":"number","label":"Distance of your proposed Property from the public fire station? (in KM)","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Is there a railway crossing in between the public fire station and your Property?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Distance in meters","type":"number","label":"Please provide the distance of your Property from the nearest water body (in meters)","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Please confirm whether your proposed Property has insulated wiring in place?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Are there any loose wiring, connections or improper electrical Installations in your Property?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Are you following standard housekeeping practices in your Property?","options":["YES","NO"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of Home Contents","fields":[{"help":"Provide sum insured for each item category; columns: Items, Sum Insured (₹)","type":"table","label":"If You want to opt out of in-built cover for General Contents and want to have higher Sum Insured or If You have opted for Home Contents Only cover, please provide item wise Sum Insured for General Contents","options":[],"required":null,"pdf_field":""},{"help":"Sum insured for basement contents","type":"amount","label":"In case of Basement, If there are contents in it, please provide the Sum Insured","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"In-Built Covers (Loss of Rent & Rent for Alternative Accommodation)","fields":[{"help":"Select applicable cover","type":"checkbox","label":"Cover for (Please Tick)","options":["Loss of Rent","Rent for Alternative Accommodation"],"required":null,"pdf_field":""},{"help":"Sum insured amount","type":"amount","label":"Loss of Rent: I. Sum Insured","options":[],"required":false,"pdf_field":""},{"help":"Sum insured amount","type":"amount","label":"Rent for Alternative Accommodation: I. Sum Insured","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Optional Covers","fields":[{"help":"Attach list of items and valuation certificate if Sum Insured > ₹5 Lakh or item value > ₹1 Lakh","type":"checkbox","label":"Cover for Valuable Contents on Agreed Value Basis (under Home Contents cover)","options":["Opted"],"required":false,"pdf_field":""},{"help":"Indicate if valuation certificate is attached","type":"choice","label":"Valuation certificate attached? (Yes/No)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide spouse name and age if opted","type":"text","label":"Personal Accident Cover for yourself and spouse - Name & age of Your spouse","options":[],"required":false,"pdf_field":""},{"help":"Provide your age if opted","type":"number","label":"Personal Accident Cover for yourself and spouse - Your age","options":[],"required":false,"pdf_field":""},{"help":"Tick if opted","type":"checkbox","label":"Third Party Liability","options":["Opted"],"required":false,"pdf_field":""},{"help":"Tick if opted","type":"checkbox","label":"Tenant’s Legal Liability","options":["Opted"],"required":false,"pdf_field":""},{"help":"Tick if opted","type":"checkbox","label":"Claim Preparation Costs","options":["Opted"],"required":false,"pdf_field":""},{"help":"Tick if opted","type":"checkbox","label":"Keys And Locks","options":["Opted"],"required":false,"pdf_field":""},{"help":"Tick if opted","type":"checkbox","label":"Accidental Damage Clause","options":["Opted"],"required":false,"pdf_field":""},{"help":"Tick if opted","type":"checkbox","label":"Protection And Preservation Of Property","options":["Opted"],"required":false,"pdf_field":""},{"help":"Tick if opted","type":"checkbox","label":"Landscaping Including Lawns, Plants, Shrubs Or Trees","options":["Opted"],"required":false,"pdf_field":""},{"help":"Tick if opted","type":"checkbox","label":"Removal Of Debris (In Excess Of 2% Of The Claim Amount)","options":["Opted"],"required":false,"pdf_field":""},{"help":"Tick if opted","type":"checkbox","label":"Sabotage And Terrorism Damage Cover Endorsement (Material Damage Only)","options":["Opted"],"required":false,"pdf_field":""},{"help":"Tick if opted","type":"checkbox","label":"Please select if below mentioned extensions under the above cover are also opted: I. Terrorism Third Party Liability Insurance Add On Cover","options":["Opted"],"required":false,"pdf_field":""},{"help":"Tick if opted","type":"checkbox","label":"Please select if below mentioned extensions under the above cover are also opted: II. Political Violence Insurance Extension","options":["Opted"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Premium Details","fields":[{"help":"Select mode of payment","type":"choice","label":"Mode of Payment","options":[],"required":null,"pdf_field":""},{"help":"Enter premium amount","type":"amount","label":"Payment Details - Amount in (₹)","options":[],"required":null,"pdf_field":""},{"help":"Provide PAN if premium ≥ ₹100,000","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"Provide GSTIN(s)","type":"text","label":"GSTIN (If more than one GSTIN, kindly attach an annexure with details)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Bank Details of Proposer for Refund or Claim Purpose","fields":[{"help":"Name of bank account holder","type":"text","label":"Name of bank account holder (mention specifically, if different from name of policyholder)","options":[],"required":null,"pdf_field":""},{"help":"Bank name and branch","type":"text","label":"Bank Name & Branch","options":[],"required":null,"pdf_field":""},{"help":"Bank account number","type":"text","label":"Bank Account Number","options":[],"required":null,"pdf_field":""},{"help":"Bank IFSC code","type":"text","label":"IFS Code","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Nominee name","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"Nominee date of birth","type":"date","label":"Date of Birth","options":[],"required":null,"pdf_field":""},{"help":"Relationship to proposer","type":"text","label":"Relationship with the proposer","options":[],"required":null,"pdf_field":""},{"help":"Nominee mobile number","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Nominee email address","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"Nominee present address","type":"text","label":"Address of Nominee - Present address","options":[],"required":null,"pdf_field":""},{"help":"Nominee bank account holder name","type":"text","label":"Bank Account Details of Nominee - Name of Account holder","options":[],"required":false,"pdf_field":""},{"help":"Provide authorized person details if nominee is minor","type":"text","label":"Authorized person details (in case nominee is a minor)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Claim Details","fields":[{"help":"Year of loss","type":"number","label":"Year","options":[],"required":false,"pdf_field":""},{"help":"Date of loss","type":"date","label":"Date of Loss","options":[],"required":false,"pdf_field":""},{"help":"Cause of loss","type":"text","label":"Cause of Loss","options":[],"required":false,"pdf_field":""},{"help":"Claimed amount","type":"amount","label":"Claimed Amount","options":[],"required":false,"pdf_field":""},{"help":"Settled amount or indicate if outstanding","type":"amount","label":"Settled Amount/please specify if claim is outstanding","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration by Insured","fields":[{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Sign the form; stamp if juridical person","type":"signature","label":"Signature of the Proposer(s) (Affix stamp, where proposer is a juridical person)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"For Intermediary Use Only","fields":[{"help":"Name of intermediary","type":"text","label":"Name of Insurance Agent/POSP/Specified Person of the Corporate Agent/Authorized Person of the Broker/IMF","options":[],"required":null,"pdf_field":""},{"help":"Code of intermediary","type":"text","label":"Intermediary’s Code","options":[],"required":null,"pdf_field":""},{"help":"Signature of intermediary","type":"signature","label":"Intermediary’s Signature","options":[],"required":null,"pdf_field":""}],"filled_by":"intermediary"}],"deadlines":[],"applies_to":"Griha Lite home insurance policy","attachments":["Separate signed and dated sheet if insufficient space to answer any question","List of items and Valuation Certificate for Valuable Contents if Sum Insured > ₹5 Lakh or individual item value > ₹1 Lakh","Annexure with GSTIN details if more than one GSTIN"],"declarations":["All statements and information provided are complete and accurate with no material facts withheld.","Misrepresentation or suppression of material facts may render the policy void and premium forfeited.","Policyholder and related persons must assist the insurer with anti-financial crime compliance.","Premium must be paid from legitimate sources; insurer may verify and reject policy if otherwise.","Consent to receive communications electronically and for processing personal data as per privacy policy.","Insurer may reject proposal or terminate contract if proposer or associates are on sanctions lists."],"dropped_labels":17},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"grievance","channel":"email","value":"GCIcare@generalicentral.com","label":"HELPLINE Email","level":1,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"atrix given below.\nLEVEL 1\nYou Can Call On Our HELPLINE\n1800-220-233 / 1860-500-3333 / 022-67837800\nOR\nSEND US AN EMAIL\nGCIcare@generalicentral.com\nOur senior citizen policyholders can avail priority support by choosing the valid option from the helpline menu or writ","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-220-233 / 1860-500-3333 / 022-67837800","label":"HELPLINE","level":1,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"may have. You can escalate your concerns as per the\nescalation matrix given below.\nLEVEL 1\nYou Can Call On Our HELPLINE\n1800-220-233 / 1860-500-3333 / 022-67837800\nOR\nSEND US AN EMAIL\nGCIcare@generalicentral.com\nOur senior citizen policyholders can avail priority support by choosing","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Generali Central Insurance Company Ltd.\nUnit No. 301, 3rd Floor Part, Building No. 8,\nMindspace IT/ITES SEZ, MIDC Industrial Area,\nAiravali, Navi Mumbai,\nThane District – 400 708.","label":"Corporate Grievance Redressal Officer (GRO) Address","level":2,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"ON\n+91-79001 97777\nOR\nSend your complaint to our Corporate Grievance Redressal Officer\nMr. Hari Shankar Mishra\nADDRESS\nGenerali Central Insurance Company Ltd.\nUnit No. 301, 3\nrd\nFloor Part, Building No. 8,\nMindspace IT/ITES SEZ, MIDC Industrial Area,\nAiravali, Navi Mumbai,\nThane District – 400 708.\nLEVEL 3\nIf you are still not satisfied with the solution provided, you can email\nour CEO’s office.\nEMAIL OUR CEO’s OFF","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"GCIGRO@generalicentral.com","label":"Corporate Grievance Redressal Officer (GRO) Email","level":2,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"solution provided to you does not meet your expectations,\nyou can write directly to our Corporate GRO.\nSEND US AN EMAIL\nGCIGRO@generalicentral.com\nOR\nCALL US ON\n+91-79001 97777\nOR\nSend your complaint to our Corporate Grievance Redressal Officer\nMr. Hari Shankar Mish","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"+91-79001 97777","label":"Corporate Grievance Redressal Officer (GRO) Phone","level":2,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"ur expectations,\nyou can write directly to our Corporate GRO.\nSEND US AN EMAIL\nGCIGRO@generalicentral.com\nOR\nCALL US ON\n+91-79001 97777\nOR\nSend your complaint to our Corporate Grievance Redressal Officer\nMr. Hari Shankar Mishra\nADDRESS\nGenerali Central In","fetched_at":"2026-10-20"}],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/generali-central-insurance/2749-griha-lite-proposal-form"}